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Deficiency Records for Homestead of Hugo
A list of the most recent deficiencies for Homestead of Hugo. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Homestead of Hugo. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-05-30 | 2024-06-07 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-04-10 | 2024-05-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-10 | 2024-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-10 | 2024-05-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-10 | 2024-05-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-10 | 2024-05-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-08 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-08 | 2024-02-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-08 | 2024-02-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-08 | 2024-02-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-08 | 2024-02-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-08 | 2024-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-08 | 2024-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-08 | 2024-02-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-08 | 2024-02-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-08 | 2024-02-07 | N |
| Post nurse staffing information every day. | Health | 2024-01-08 | 2024-02-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-08 | 2024-02-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-08 | 2024-02-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-08 | 2024-02-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-08 | 2024-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-08 | 2024-02-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-08 | 2024-02-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-01-08 | 2024-02-07 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-01-08 | 2024-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-08 | 2024-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-08 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-05-31 | 2023-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-03 | 2023-05-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-03 | 2023-05-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-06 | 2023-05-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-06 | 2023-05-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-06 | 2023-03-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-06 | 2023-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-06 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-06 | 2023-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-03-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-13 | 2023-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-05 | 2022-03-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-01-05 | 2022-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-05 | 2022-03-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-05 | 2022-03-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-05 | 2022-03-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-01-05 | 2022-03-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-01-05 | 2022-03-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-01-05 | 2022-03-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-07 | 2022-01-05 | Y |
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